WO2009113594A1 - Agent and food for prevention/amelioration of functional gastrointestinal disorders - Google Patents

Agent and food for prevention/amelioration of functional gastrointestinal disorders Download PDF

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Publication number
WO2009113594A1
WO2009113594A1 PCT/JP2009/054697 JP2009054697W WO2009113594A1 WO 2009113594 A1 WO2009113594 A1 WO 2009113594A1 JP 2009054697 W JP2009054697 W JP 2009054697W WO 2009113594 A1 WO2009113594 A1 WO 2009113594A1
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Prior art keywords
salt
arginine
glutamic acid
functional
preventive
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PCT/JP2009/054697
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French (fr)
Japanese (ja)
Inventor
真一 藤田
郁美 石橋
沙織 小川
学 鈴木
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味の素株式会社
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Priority to JP2010502860A priority Critical patent/JPWO2009113594A1/en
Priority to EP09720186A priority patent/EP2263666A4/en
Publication of WO2009113594A1 publication Critical patent/WO2009113594A1/en
Priority to US12/879,291 priority patent/US20110060046A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • A61K31/198Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/17Amino acids, peptides or proteins
    • A23L33/175Amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/06Anti-spasmodics, e.g. drugs for colics, esophagic dyskinesia
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23VINDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00Food compositions, function of food ingredients or processes for food or foodstuffs

Definitions

  • the present invention relates to a functional gastrointestinal disorder preventive / ameliorating agent, and more particularly, functional gastroenteropathy such as abdominal pain, stomach sag, heartburn, etc., among functional gastrointestinal disorders (FGIDs).
  • the present invention relates to a preventive / ameliorating agent for upper gastrointestinal dysfunction of (FD) and gastroesophageal reflux disease (GERD).
  • dyspepsia symptoms in the diagnostic criteria have been simplified to four based on the results of clinical studies after Rome II. That is, annoying after-prandial fullness, early satiation, epigastric pain, epigastric burning, and one or more symptoms are chronic (strict) Is diagnosed as FD when organic disease is excluded.
  • these cases have been referred to as “upper abdominal gastrointestinal complaints associated with chronic gastritis” regardless of their organic findings, and have been conventionally diagnosed as “gastritis” or “chronic gastritis” in clinical practice. Exists.
  • Abdominal indefinite complaints can be said to be a disease that represents modern society along with lifestyle-related diseases. . Although it is such a serious disease, the cause of gastrointestinal indefinite complaints has only been suggested to be associated with various diseases (chronic gastritis, diabetes, obesity, constipation, etc.). Only a decrease in gastrointestinal motor function has been suggested. Considering that 50% of the actual FD patients have decreased gastrointestinal motility, it is clear that the mechanism of FD development has not been fully elucidated.
  • 5-HT4 receptor agonists and the like have been used for the treatment of FD.
  • cisapride and metoclopramide have a gastrointestinal motility enhancing action and are used for the treatment of symptoms such as chronic gastritis, abdominal fullness, reflux esophagitis, abdominal indefinite complaints, and pseudointestinal obstruction.
  • metoclopramide has been shown to have side effects of extrapyramidal symptoms on its action on central dopamine D 2 receptors, and it has been shown that Parkinson's symptoms also appear in cisapride.
  • mosapride and the like are used, the effect may not be sufficient, and side effects such as diarrhea appear.
  • H2 antagonists and proton pump inhibitors are prescribed, but their safety is uncertain when administered over a long period of time. There is also a report that long-term administration of a proton pump inhibitor increases the risk of fractures.
  • the present invention can be more easily produced in order to prevent or ameliorate functional gastrointestinal disorders, particularly upper gastrointestinal dysfunction such as functional gastroenteropathy and gastroesophageal reflux disease such as abdominal pain, stomach upset and heartburn.
  • the object is to provide a highly safe preventive / ameliorating agent.
  • the present invention has been made in view of the above problems.
  • the present inventors have found that administration of a preparation containing glutamic acid and arginine promotes gastric emptying, which is effective for functional gastrointestinal tract disorders in which gastric emptying is delayed. Moreover, it became clear that the same effect was shown even if the ratio of arginine was changed, and it discovered that the quantity of arginine which is a bitter substance and needs masking at the time of ingestion can be reduced.
  • the present invention is as follows.
  • a functional gastrointestinal disorder preventive / ameliorating agent containing glutamic acid or a salt thereof, and arginine or a salt thereof as an active ingredient, except for glutamic acid arginine salt.
  • the preventive / ameliorating agent according to [1] wherein the functional gastrointestinal tract disorder is upper gastrointestinal tract disorder.
  • the preventive / ameliorating agent according to [2], wherein the upper gastrointestinal dysfunction is functional gastroenteropathy or gastroesophageal reflux disease.
  • a food containing the preventive / ameliorating agent according to any one of [1] to [7].
  • a method for preventing or ameliorating functional gastrointestinal disorders comprising administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from a functional gastrointestinal disorder, wherein glutamic acid arginine salt is except.
  • a method for treating functional gastrointestinal disorders comprising administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from functional gastrointestinal disorders, except for glutamic acid arginine salts .
  • the preventive / ameliorating agent according to any one of [1] to [7], which is a solid preparation.
  • medical agent and foodstuffs which are useful for improvement of functional digestive tract disorders, especially upper gastrointestinal dysfunctions, such as functional gastroenteropathy and gastroesophageal reflux disease, can be provided.
  • the drug or food can be taken for a long time because it improves the unpleasant sensation associated with the above-mentioned diseases, increases the QOL of the patient, and has few side effects.
  • the amount of arginine, which is a bitter substance and requires masking when ingested is small, masking is easily performed.
  • FIG. 1 shows the results of promotion of gastric emptying when the mixing ratio of glutamic acid and arginine is changed.
  • FIG. 2 shows the results of promotion of gastric emptying when the mixing ratio of glutamic acid and arginine is changed.
  • a functional gastrointestinal tract preventive / ameliorating agent (hereinafter also referred to as the prophylactic / improving agent of the present invention) containing glutamic acid or a salt thereof of the present invention and arginine or a salt thereof as an active ingredient (excluding glutamic acid arginine salt) is a patient
  • the prophylactic / improving agent of the present invention containing glutamic acid or a salt thereof of the present invention and arginine or a salt thereof as an active ingredient (excluding glutamic acid arginine salt) is a patient
  • “Functional gastrointestinal tract disorder” in the present invention refers to a state in which the motor function of the digestive tract is reduced despite no obvious organic change, and the digestive tract (pharynx, esophagus, stomach, small intestine). (Deduodenum, jejunum, ileum), large intestine) is a decrease in all functions. In Rome III, this definition is classified from A to H. Functional esophageal disorder, functional gastroduodenal disorder, functional bowel disorder, functional abdominal pain syndrome, functional gallbladder / oddy sphincter disorder, functional Anorectal disorders, neonatal and infant dysfunction, children and adolescent dysfunction.
  • the “gastrointestinal tract” in the present invention refers to a luminal organ involved in a series of digestion from the oral cavity to the anus, and includes, for example, the pharynx, esophagus, stomach, small intestine (duodenum, jejunum, ileum), and large intestine. Furthermore, the “upper digestive tract” refers to the pharynx, esophagus, stomach, and duodenum.
  • Functional gastroenteropathy '' in the present invention refers to a disease that has been diagnosed as chronic gastritis or gastritis with delayed gastric emptying, and is characterized by symptoms such as abdominal pain, stomach upset, heartburn, etc. To do. According to RomeIII, one or more symptoms of annoying postprandial fullness, early satiety, epigastric pain, and epigastric burning sensation were chronic (exactly 3 months or more), and organic diseases were excluded. Sometimes diagnosed with functional gastroenteropathy.
  • “Gastroesophageal reflux disease” in the present invention includes reflux esophagitis, which is a symptom caused by reflux of gastric acid and having specific symptoms such as heartburn and gastric acid rising to the mouth.
  • Specific symptoms (indefinite complaints) of functional gastrointestinal disorders that can be prevented or ameliorated by the preventive / ameliorating agent of the present invention include nausea, vomiting, nausea, heartburn, bloating, stomach upset, gep, chest distress, Typical upper gastrointestinal complaints such as chest pain, stomach discomfort, loss of appetite, lower gastrointestinal complaints such as abdominal pain, constipation, and diarrhea and related complaints such as shortness of breath, difficulty in breathing, decreased motivation, laryngeal obstruction, foreign body Sensation ("Umekiki” in Chinese medicine), ease of fatigue, stiff shoulders, tension, dry mouth (dry thirst, dry mouth), respiratory distress, extremity heat / cold sensation, difficulty concentrating, agitation, sleep disorder, Examples include headache, general malaise, palpitation, night sweats, anxiety, lightness, dizziness, heat, hot flashes, sweating, abdominal pain, constipation, and depression.
  • the preventive / ameliorating agent of the present invention is used for the prevention or improvement of functional gastrointestinal disorders.
  • Improvement here is a concept including improvement of symptoms and prevention of progression (deterioration) of medical conditions or symptoms.
  • Prevention is also a concept that includes preventing the occurrence of symptoms (prevention) and reducing the risk of functional gastrointestinal disorders.
  • Glutamic acid, arginine, and salts thereof may be any of those derived from animals and plants, or those obtained by chemical synthesis, fermentation, or gene recombination.
  • glutamic acid any of L-form, D-form and a mixture thereof (for example, racemate) may be used, but L-form is preferably used.
  • aspartic acid, tricolominic acid, ibotenic acid, or salts thereof, which are the same amino acids as glutamic acid have an action to improve functional gastrointestinal tract disorders.
  • Arginine may be any of L-form, D-form, and a mixture thereof (for example, racemate), but L-form is preferably used.
  • the glutamic acid salt and arginine salt in the present invention include pharmacologically acceptable salts.
  • examples of such salts include salts with inorganic bases, salts with inorganic acids, salts with organic acids, and the like.
  • arginine glutamate is excluded as the above salt.
  • Examples of the salt with an inorganic base include a salt with an alkali metal such as sodium, potassium and lithium, a salt with an alkaline earth metal such as calcium and magnesium, and a salt with ammonium.
  • Examples of the salt with an inorganic acid include salts with hydrohalic acid (hydrochloric acid, hydrobromic acid, hydroiodic acid, etc.), sulfuric acid, nitric acid, phosphoric acid and the like.
  • Examples of salts with organic acids include salts with formic acid, acetic acid, propionic acid, oxalic acid, succinic acid, maleic acid, fumaric acid, citric acid, glutamic acid, aspartic acid, histidine and the like.
  • a salt with an alkali metal such as a sodium salt is preferable, and a salt with an organic acid such as a histidine salt is also useful.
  • Suitable glutamic acid or a salt thereof as an active ingredient includes glutamic acid, sodium L-glutamate, sodium D-glutamate and the like. Of these, glutamic acid, sodium L-glutamate and the like are preferable.
  • Arginine or a salt thereof as a suitable active ingredient includes arginine, arginine hydrochloride and the like. Moreover, an active ingredient can be used in mixture of 2 or more types.
  • the ratio of glutamic acid or a salt thereof to arginine or a salt thereof is usually such that glutamic acid and arginine are blended at a molar ratio of 100: 1 to 1: 100 (1: 1 is Preferably excluded).
  • 30: 1 to 1:30 is preferable, and 10: 1 to 1:10 is more preferable (1: 1 is preferably excluded).
  • the range of 10: 1 to 2: 1 and 1: 2 to 1:10 is preferable, and 10: 1 to 2: 1 is particularly preferable.
  • Administration subjects are individuals suffering from functional gastrointestinal disorders (for example, humans, domestic animals and poultry such as cows, horses, pigs, sheep, dogs, and birds, and laboratory animals such as mice and rats. The same applies hereinafter). And individuals who may suffer from the functional gastrointestinal tract disorder.
  • functional gastrointestinal disorders for example, humans, domestic animals and poultry such as cows, horses, pigs, sheep, dogs, and birds, and laboratory animals such as mice and rats. The same applies hereinafter). And individuals who may suffer from the functional gastrointestinal tract disorder.
  • active ingredient refers to an ingredient that provides a desired preventive / improving effect.
  • the dose of the active ingredient varies depending on the sex, age, weight, diet, mode of administration, FD symptom, degree of risk of inducing FD, symptoms of organic diseases of the digestive tract, etc.
  • the daily dose of the active ingredient relative to (with a body weight of 60 kg) is usually 0.01 to 10 g, preferably 0.1 to 3 g as glutamic acid.
  • arginine is usually 0.01 to 10 g, preferably 0.1 to 3 g.
  • the daily dose of the active ingredient in which glutamic acid and arginine are combined is preferably 0.01 to 20 g, more preferably 0.01 to 10 g, still more preferably 0.1 to 6 g as glutamic acid and arginine. Such a dose can be administered once or divided into several times.
  • the active ingredient is administered as it is or mixed with a pharmaceutical carrier.
  • a pharmaceutical carrier e.g., a pharmaceutical carrier for a pharmaceutical preparation of active ingredient to be administered orally, enterally or parenterally as pharmaceutical preparations such as pills, suspensions, syrups, gum preparations, drops preparations, powders, granules, injections, suppositories, sustained-release preparations, etc. .
  • oral administration is preferable, and a drug sustained release form is more preferable.
  • sustained release forms include gum preparations, drops preparations, stereotactic release agents (pyloric rupture preparations) and the like in addition to usual sustained release agents such as gel-coated preparations and multiple-coated preparations.
  • the preventive / ameliorating agent of the present invention is preferably in the form of a solid preparation such as powder, granule, fine granule, tablet and capsule.
  • the present invention also includes a form in which glutamic acid or a salt thereof and arginine or a salt thereof are separately formulated so as to have the above-described molar ratio and mixed at the time of administration or taken simultaneously at the time of administration.
  • the above-mentioned pharmaceutical carrier means a pharmaceutically acceptable substance that exhibits as little pharmaceutical activity as possible in the body.
  • Pharmaceutical carriers when administered orally include binders such as hydroxypropylcellulose, tragacanth gum, gum arabic, corn starch, gelatin; excipients such as dicalcium phosphate; partially pregelatinized starch, corn starch, potato starch, alginic acid, etc. Disintegrants; Lubricants such as magnesium stearate; Sweeteners such as sucrose; Dyes; Fragrances such as orange flavor; Solvents such as water, ethanol and glycerol; Nutrients such as proteins, amino acids, vitamins, lipids and glucose It can be used as appropriate.
  • antioxidants such as cysteine, glutathione, ascorbic acid, sodium metasulfite, sodium bisulfite, and acid neutralizers such as calcium carbonate, aluminum hydroxide gel, and aluminum silicate are used as pharmaceutical carriers. Can be mentioned. One or more of these can be used.
  • compositions and pharmaceutical carriers described above are well known to those skilled in the art. For example, as described in Reimington's Pharmaceuticals Science, ed. 16 (1980), Mack Publishing Company. A dosage form can be used and a pharmaceutical carrier can be used.
  • the content (total amount) of glutamic acid and arginine, which are active ingredients in the above-mentioned pharmaceutical (pharmaceutical preparation), is usually 0.01 to 100% by weight, preferably 0.1 to 100% by weight, more preferably 1 to 100% by weight.
  • the preventive / ameliorating agent of the present invention may be used in combination with other drugs.
  • examples of such drugs include acid secretion inhibitors such as H2 receptor antagonists and proton pump inhibitors, 5-HT receptor agonists, D 2 Motor function improvers such as antagonists, antacids such as muscarinic receptor antagonists, antigastrin drugs, and anticholinergics, teprenone, pranotol, ornoprostil, enprostil, misoprostol, rebamipide, sucralfate, polaprezinc, azulene
  • mucosal protective agents such as egalene sodium, glutamine, aldioxa, gefarnate and ecabet sodium, sulfasalazine, 5-ASA preparations, inflammatory colitis therapeutic agents such as steroids and remicades can be contained. These can contain 1 type, or 2 or more types.
  • the preventive / ameliorating agent of the present invention and the other drug may be
  • the food according to the present invention contains glutamic acid or a salt thereof, and arginine or a salt thereof as active ingredients (excluding glutamic acid arginine salt), improves functional gastrointestinal disorders, functional gastroenteropathy or gastroesophageal reflux Taken for a specific purpose, such as prevention or amelioration of the disease.
  • the food of the present invention may be a general food including so-called health food.
  • the food of the present invention can be a health functional food, a food for specified health use, a nutritional functional food, or a dietary supplement (dietary supplement) as defined in the health functional food system of the Ministry of Health, Labor and Welfare.
  • glutamic acid and arginine, or a salt thereof can be used in combination of two or more.
  • the present invention also includes a form in which glutamic acid or a salt thereof and arginine or a salt thereof are separately formulated so as to have the above-described molar ratio and mixed at the time of ingestion or taken simultaneously at the time of ingestion.
  • the food of the present invention may be ingested the above-mentioned compound as it is, but in order to make it easier to ingest, the above-mentioned compound is added with normal food materials, seasonings, flavors, etc., drinks, gums, powders, tablets , Processed into a granule, jelly form, etc.
  • a tablet comprising the above compound and a disintegrant, a mixture of the above compound and a bulking agent (protein hydrolyzate, starch, casein, glucose, etc.), the above compound and a sticky agent that can be sustainedly released in the oral cavity
  • a mixture of the above compound and a solvent for example, edible oil, ethanol or water
  • a W / O or O / W emulsion containing the compound It can be set as the mixture of the said compound and nutrients (For example, protein, an amino acid, a vitamin, a lipid, glucose, etc.).
  • glutamic acid and arginine for preventing or improving functional gastrointestinal tract disorders according to the present invention and for preventing or improving functional gastroenteropathy or gastroesophageal reflux disease can be added at the time of taking a meal and taken together with the meal. It is. For example, you may ingest by adding to existing foods, such as a drink, a soft drink, a yogurt, a jelly, and a milk drink.
  • the daily intake amount for adults is usually 0.01 to 10 g as glutamic acid, and preferably 0.1 to 3 g.
  • arginine is usually 0.01 to 10 g, preferably 0.1 to 3 g.
  • the daily intake amount of an active ingredient in which glutamic acid and arginine are combined is preferably 0.01 to 20 g, more preferably 0.01 to 10 g, still more preferably 0.1 to 6 g as glutamic acid and arginine. Such intake can be administered once or divided into several times.
  • the content of the above compound in the food of the present invention is usually 0.01 to 3% by weight, preferably 0.05 to 1% by weight, more preferably 0.1 to 0.5% by weight. .
  • the food of the present invention includes a form packaged in the form of one meal intake unit.
  • the form of one meal intake unit is a form in which the amount taken per meal is determined in advance, and is determined in consideration of the above-mentioned intake of active ingredients per day for adults.
  • active ingredients per day for example, in the case of beverages, candy, chewing gum, jelly, pudding, yogurt, etc.
  • a certain amount can be defined by the above, or the amount of intake per meal is displayed on a container or the like.
  • functional digestion comprising administering or ingesting an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof (excluding glutamic acid arginine salt) to a subject suffering from a functional gastrointestinal disorder
  • an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof (excluding glutamic acid arginine salt) to a subject suffering from a functional gastrointestinal disorder
  • Methods for preventing, ameliorating or treating vascular disorders are also included in the present invention. Effective amounts and the like are as described above.
  • the present invention also includes glutamic acid or a salt thereof and use of arginine or a salt thereof (excluding glutamic acid arginine salt) for producing a functional gastrointestinal disorder preventive / ameliorating agent.
  • the functional gastrointestinal disorder preventive / ameliorating agent is as described above.
  • Example 1 In order to examine the promotion of gastric emptying when the mixing ratio of glutamic acid and arginine was changed, the following experiment was conducted. Male SD (IGS) rats were used. 1.5 mL of 10% casein liquid diet containing 0.05% phenol red and test drug was orally administered, and 60 minutes later, the thoracotomy was performed and the stomach was removed. The excised stomach was placed in 0.1N sodium hydroxide (30 mL), homogenized and left at room temperature for 1 hour. 1 mL of acetonitrile was added to 0.5 mL of the supernatant and centrifuged (3000 rpm, 20 minutes). The absorbance of the supernatant was measured with an absorptiometer (560 nm). The gastric emptying rate was determined by the following calculation formula.
  • Gastric emptying rate (%) (1 ⁇ absorbance of test sample / absorbance of standard sample) ⁇ 100
  • the absorbance of the standard sample was that of the stomach extracted immediately after administration of 1.5 mL of 0.05% phenol red solution.
  • the test drug was mixed in a phenol red solution.
  • glutamic acid sodium glutamate was used, and for arginine, arginine hydrochloride was used.
  • the compounding ratio of glutamic acid and arginine was 1: 3, it was prepared and administered at 3 mM: 9 mM (Arg3Glu9) and 3: 1 respectively at 9 mM: 3 mM (Arg9Glu3).
  • a 10% casein liquid diet containing 0.05% phenol red was used (vehicle).
  • the test was performed using one-way analysis of variance followed by Dunnett's multiple comparison. In addition, * P ⁇ 0.05 is shown. The results are shown in FIG. The number of cases in each group is 16 (15 cases only in the vehicle group). The vertical axis represents the gastric emptying rate. It was shown that gastric emptying was promoted at any mixing ratio of glutamic acid and arginine. *
  • Example 2 In order to examine the promotion of gastric emptying when the mixing ratio of glutamic acid and arginine was changed, the following experiment was conducted. Male SD (IGS) rats were used. 1.5 mL of 10% casein liquid diet containing 0.05% phenol red and test drug was orally administered, and 60 minutes later, the thoracotomy was performed and the stomach was removed. The excised stomach was placed in 0.1N sodium hydroxide (30 mL), homogenized and left at room temperature for 1 hour. 1 mL of acetonitrile was added to 0.5 mL of the supernatant and centrifuged (3000 rpm, 20 minutes). The absorbance of the supernatant was measured with an absorptiometer (560 nm). The gastric emptying rate was determined by the following calculation formula.
  • Gastric emptying rate (%) (1 ⁇ absorbance of test sample / absorbance of standard sample) ⁇ 100
  • the absorbance of the standard sample was that of the stomach extracted immediately after administration of 1.5 mL of 0.05% phenol red solution.
  • the test drug was mixed in a phenol red solution.
  • glutamic acid sodium glutamate was used, and for arginine, arginine hydrochloride was used.
  • the concentration of glutamic acid was 9 mM, and the concentration of arginine was changed.
  • As a control a 10% casein liquid food containing 0.05% phenol red was used.
  • the test was divided into two days of arginine-added 0.09, 0.03 and 0.3 mM and 0.9, 3, 30, 90, 300 and 900 mM, and a vehicle group was established each time (vehicle and vehicle 2). ).
  • the test was performed using one-way analysis of variance followed by Dunnett's multiple comparison.
  • the combination group with 0.09 mM to 0.3 mM arginine was compared with vehicle, and the combination group with arginine 0.9 to 900 mM was compared with vehicle 2.
  • * P ⁇ 0.05 is shown.
  • the results are shown in FIG.
  • the number of examples in each group is 8.
  • the vertical axis represents the gastric emptying rate (gastric emptying ability). Gastric emptying was significantly promoted when the addition concentration of arginine was 0.9 mM to 90 mM.
  • Formulation Example 1 Each component is pulverized and mixed in a pulverizer at a ratio of 0.56 g of sodium L-glutamate, 0.21 g of L-arginine hydrochloride and 1.0 g of partially pregelatinized starch as a single intake. Then, ethanol is added and kneaded with a kneader, and granulated with an extrusion granulator to obtain granules.
  • Formulation Example 2 (granule) Each component was pulverized and mixed in a pulverizer at a ratio of 0.19 g of sodium L-glutamate, 0.63 g of L-arginine hydrochloride and 1.0 g of partially pregelatinized starch as a single intake. Then, ethanol is added and kneaded with a kneader, and granulated with an extrusion granulator to obtain granules.
  • Formulation Example 3 For each tablet, 0.56 g of sodium L-glutamate, 0.21 g of L-arginine hydrochloride and 0.2 g of hydroxypropylcellulose are added and granulated. After drying, the mixture is granulated, mixed and compressed to obtain tablets.
  • Formulation Example 4 For each tablet, 0.19 g of sodium L-glutamate, 0.63 g of L-arginine hydrochloride and 0.2 g of hydroxypropylcellulose are granulated. After drying, the mixture is granulated, mixed and compressed to obtain tablets.

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Abstract

Disclosed is a prophylactic/ameliorating agent for functional gastrointestinal disorders, which comprises glutamic acid or a salt thereof and arginine or a salt thereof (excluding glutamic acid arginine salt) as active ingredients. The prophylactic/ameliorating agent can be produced conveniently at a low cost, is highly safe, and is effective particularly for upper gastrointestinal functional disorders such as functional dyspepsia (FD) including abdominal pain, heavy stomach feeling and burning pain and gastroesophageal reflux disease (GERD).

Description

機能性消化管障害予防・改善剤および食品Functional gastrointestinal disorder preventive / ameliorating agent and food
 本発明は、機能性消化管障害予防・改善剤に関し、より詳しくは、機能性消化管障害(functional gastrointestinal disorders;FGIDs)のなかでも、特に腹部痛、胃もたれ、胸やけ等の機能性胃腸症(FD)や胃食道逆流症(GERD)の上部消化管機能障害の予防・改善剤に関する。 The present invention relates to a functional gastrointestinal disorder preventive / ameliorating agent, and more particularly, functional gastroenteropathy such as abdominal pain, stomach sag, heartburn, etc., among functional gastrointestinal disorders (FGIDs). The present invention relates to a preventive / ameliorating agent for upper gastrointestinal dysfunction of (FD) and gastroesophageal reflux disease (GERD).
 内視鏡診断が進歩しても、上腹部痛や不快感、食後の胃もたれ、悪心・嘔吐等の上部消化器症状の訴えに対して、症状を説明できない所見の症例が多く見られる。このような消化器症状を訴えながら内視鏡を含む一般検査では器質的疾患は見られず、症状を解明する所見が得られない状態を機能性消化管障害、特に機能性胃腸症(FD:functional dyspepsia、機能性ディスペプシア)、上腹部不定愁訴(NUD:non-ulcer dyspepsia)と呼んでいる。
 機能性消化管障害に対する診断基準としてRome基準が知られているが、2006年4月に改定されRome IIIとして米国消化器病学会雑誌(Gastroenterology)で公表された。FDの概念に大きな変更はないが、診断基準におけるディスペプシア症状がRome II以降の臨床研究の結果を踏まえて4つに簡略化された。すなわち、煩わしい食後膨満感(bothersome postprandial fullness)、早期飽満感(early satiation)、心窩部痛(epigastric pain)、心窩部灼熱感(epigastric burning)であり、そのうち一症状以上が慢性的に(厳密には3ヶ月以上)みられ、かつ器質的疾患が除外された場合にFDと診断される。一方、わが国ではこれまでこうした症例を器質的な所見に関わりなく“慢性胃炎に伴う上腹部消化管愁訴”とし、臨床の場では慣例的に“胃炎”または“慢性胃炎”と診断されてきた経緯が存在する。
Even if endoscopic diagnosis advances, there are many cases in which symptoms cannot be explained for complaints of upper gastrointestinal symptoms such as upper abdominal pain and discomfort, stomach upset after meals, nausea and vomiting. In general examinations that include endoscopes while complaining of such gastrointestinal symptoms, there are no organic diseases, and no findings to clarify the symptoms can be found. Functional gastrointestinal disorders, especially functional gastroenteropathy (FD: This is called functional dyspepsia, non-ulcer dyspepsia (NUD).
The Rome standard is known as a diagnostic standard for functional gastrointestinal disorders, but was revised in April 2006 and published in the American Society of Gastroenterology as Rome III. Although there is no major change in the concept of FD, dyspepsia symptoms in the diagnostic criteria have been simplified to four based on the results of clinical studies after Rome II. That is, annoying after-prandial fullness, early satiation, epigastric pain, epigastric burning, and one or more symptoms are chronic (strict) Is diagnosed as FD when organic disease is excluded. On the other hand, in Japan, these cases have been referred to as “upper abdominal gastrointestinal complaints associated with chronic gastritis” regardless of their organic findings, and have been conventionally diagnosed as “gastritis” or “chronic gastritis” in clinical practice. Exists.
 一方、器質的病変(逆流性食道炎、消化性潰瘍、急性胃炎、消化器がん、膵・胆道疾患等)を明らかに伴う場合においても、腹部痛や不快感、食後の胃もたれ、悪心・嘔吐等が認められており、これらの不快感覚改善は患者のQOL向上にとって急務とされている。NUDと便秘に伴う排便困難感、残便感、腹痛、腹部膨満感等の下腹部消化管不定愁訴をあわせると、日本国内において総人口の約30%~50%が何かしらの消化管の不定愁訴を経験していると推測されている。腹部不定愁訴の発症には性別、加齢、ストレス、また欧米型の食生活による肥満が影響していると考えられており、腹部不定愁訴は生活習慣病と並ぶ現代社会を代表する病といえる。これほど重大な疾患でありながら、消化管不定愁訴の原因としては、種々の疾患(慢性胃炎、糖尿病、肥満、便秘等)との関連が示唆されているのみであり、その発生機序としては消化管運動機能の低下が示唆されているに留まっている。実際のFD患者で消化管運動機能の低下が認められているのは全体の50%であることを考え合わせると、FDの発生機序は完全に解明されていないことは明らかである。 On the other hand, even when organic lesions (reflux esophagitis, peptic ulcer, acute gastritis, gastrointestinal cancer, pancreatic / biliary tract disease, etc.) are clearly associated, abdominal pain and discomfort, stomach upset after meals, nausea / Vomiting and the like have been observed, and these improvements in discomfort are urgently needed to improve the patient's QOL. When combined with NUD and lower abdominal gastrointestinal complaints such as difficulty of defecation associated with constipation, abdominal pain, abdominal bloating, etc., approximately 30% to 50% of the total population in Japan has some unidentified complaints of the digestive tract It is speculated that you have experienced. Abdominal indefinite complaints are thought to be affected by gender, aging, stress, and obesity due to Western dietary habits. Abdominal indefinite complaints can be said to be a disease that represents modern society along with lifestyle-related diseases. . Although it is such a serious disease, the cause of gastrointestinal indefinite complaints has only been suggested to be associated with various diseases (chronic gastritis, diabetes, obesity, constipation, etc.). Only a decrease in gastrointestinal motor function has been suggested. Considering that 50% of the actual FD patients have decreased gastrointestinal motility, it is clear that the mechanism of FD development has not been fully elucidated.
 また、パーキンソン氏病、ハンチントン舞踏病、オリーブ橋小脳萎縮症等の進行性脳変性疾患や脳卒中患者等の多くは消化管運動機能障害を併発しており、消化管運動機能の改善によるQOL向上が必要であるとされている。これらの患者の中には言語障害、意識障害等の理由から自ら不定愁訴を訴えることのできない患者が多く存在すると考えられ、器質的な機能障害に対するケアと同時に、不定愁訴等の感覚障害を取り除くケアを実施することが真のQOL向上につながる。 Many patients with progressive cerebral degenerative diseases such as Parkinson's disease, Huntington's disease, olive bridge cerebellar atrophy, and stroke patients also have dysfunction of the gastrointestinal tract. It is said that it is necessary. Among these patients, it is thought that there are many patients who are unable to complain of indefinite complaints for reasons such as speech disorder or consciousness disorder, and remove sensory disturbances such as indefinite complaints at the same time as care for organic dysfunction. Caring for care leads to a real QOL improvement.
 FDの治療にはこれまで、5-HT4受容体作動薬等が用いられてきた。例えば、シサプリドやメトクロプラミドは、胃腸管の運動亢進作用を有し、慢性胃炎、腹部膨満感、逆流性食道炎、腹部不定愁訴および偽性腸閉塞の症状等の治療に使用されている。しかし、メトクロプラミドは中枢のドーパミンD受容体への作用に対する錐体外路症状の副作用が認められ、また、シサプリドにおいてもパーキンソン症状が現れることが明らかにされている。さらに、モサプリド等も使用されているが、効果が十分でない場合があり、また下痢等の副作用が出現する。また、H2拮抗剤やプロトンポンプ阻害剤が処方されるケースも多いが、長期的に投与する場合、その安全性が未確定である。プロトンポンプ阻害剤の長期投与により骨折などのリスクが増大するという報告もある。 So far, 5-HT4 receptor agonists and the like have been used for the treatment of FD. For example, cisapride and metoclopramide have a gastrointestinal motility enhancing action and are used for the treatment of symptoms such as chronic gastritis, abdominal fullness, reflux esophagitis, abdominal indefinite complaints, and pseudointestinal obstruction. However, metoclopramide has been shown to have side effects of extrapyramidal symptoms on its action on central dopamine D 2 receptors, and it has been shown that Parkinson's symptoms also appear in cisapride. Furthermore, although mosapride and the like are used, the effect may not be sufficient, and side effects such as diarrhea appear. Moreover, there are many cases where H2 antagonists and proton pump inhibitors are prescribed, but their safety is uncertain when administered over a long period of time. There is also a report that long-term administration of a proton pump inhibitor increases the risk of fractures.
 一方グルタミン酸が機能性消化管障害の予防・改善剤になることが報告されている。さらに、グルタミン酸アルギニン塩についても消化管障害の予防・改善剤になることが報告されている(特許文献1)。一方、アルギニンについては心筋梗塞の発症頻度を増大させる可能性が示唆されているが、グルタミン酸とアルギニンの配合比を変えた上記予防・改善剤は知られていない。
WO2006/030980 A1
On the other hand, glutamic acid has been reported to be a preventive / ameliorating agent for functional gastrointestinal disorders. Furthermore, arginine glutamate has also been reported to be a preventive / ameliorating agent for gastrointestinal disorders (Patent Document 1). On the other hand, arginine has been suggested to increase the frequency of occurrence of myocardial infarction, but the preventive / ameliorating agent in which the mixing ratio of glutamic acid and arginine is changed is not known.
WO2006 / 030980 A1
 本発明は、機能性消化管障害、特に腹部痛、胃もたれ、胸やけ等の機能性胃腸症や胃食道逆流症等の上部消化管機能障害を予防または改善するために、より簡便に製造でき安全性の高い該予防・改善剤を提供することを目的とする。 The present invention can be more easily produced in order to prevent or ameliorate functional gastrointestinal disorders, particularly upper gastrointestinal dysfunction such as functional gastroenteropathy and gastroesophageal reflux disease such as abdominal pain, stomach upset and heartburn. The object is to provide a highly safe preventive / ameliorating agent.
 本発明は上記課題に鑑みなされたものである。本発明者らは、グルタミン酸とアルギニンを配合させた製剤を投与することにより、胃排出が促進されることから、胃排出遅延を認める機能性消化管障害に有効であることを見出した。また、アルギニンの比率を変化させても同様の効果を示すことが明らかとなり、苦味物質であり摂取時にマスキングを必要とするアルギニンの量を減らすことが可能であることを見出した。 The present invention has been made in view of the above problems. The present inventors have found that administration of a preparation containing glutamic acid and arginine promotes gastric emptying, which is effective for functional gastrointestinal tract disorders in which gastric emptying is delayed. Moreover, it became clear that the same effect was shown even if the ratio of arginine was changed, and it discovered that the quantity of arginine which is a bitter substance and needs masking at the time of ingestion can be reduced.
 すなわち、本発明は以下の通りである。
[1]グルタミン酸またはその塩、およびアルギニンまたはその塩を有効成分として含有する、ただしグルタミン酸アルギニン塩は除く、機能性消化管障害予防・改善剤。
[2]機能性消化管障害が上部消化管機能障害である、[1]の予防・改善剤。
[3]上部消化管機能障害が機能性胃腸症または胃食道逆流症である、[2]の予防・改善剤。
[4]グルタミン酸またはその塩とアルギニンまたはその塩のモル比が30:1~1:30で配合されている[1]~[3]のいずれか1項に記載の予防・改善剤。
[5]モル比が10:1~1:10である[4]の予防・改善剤。
[6]モル比が10:1~2:1および1:2~1:10である[4]の予防・改善剤。
[7]モル比が10:1~2:1である[4]の予防・改善剤。
[8][1]~[7]のいずれか1項に記載の予防・改善剤を含む医薬。
[9][1]~[7]のいずれか1項に記載の予防・改善剤を含む食品。
[10]食品が、保健機能食品、特定保健用食品、栄養機能食品またはダイエタリーサプリメントである[9]の食品。
[11]有効量のグルタミン酸またはその塩、およびアルギニンまたはその塩を機能性消化管障害に罹患している対象に投与することを含む、機能性消化管障害予防または改善方法、ただしグルタミン酸アルギニン塩は除く。
[12]有効量のグルタミン酸またはその塩、およびアルギニンまたはその塩を機能性消化管障害に罹患している対象に投与することを含む、機能性消化管障害の治療方法、ただしグルタミン酸アルギニン塩は除く。
[13][1]~[7]の予防・改善剤を製造するためのグルタミン酸またはその塩、およびアルギニンまたはその塩の使用、ただしグルタミン酸アルギニン塩は除く。
[14]固形製剤である[1]~[7]のいずれか1項に記載の予防・改善剤。
That is, the present invention is as follows.
[1] A functional gastrointestinal disorder preventive / ameliorating agent containing glutamic acid or a salt thereof, and arginine or a salt thereof as an active ingredient, except for glutamic acid arginine salt.
[2] The preventive / ameliorating agent according to [1], wherein the functional gastrointestinal tract disorder is upper gastrointestinal tract disorder.
[3] The preventive / ameliorating agent according to [2], wherein the upper gastrointestinal dysfunction is functional gastroenteropathy or gastroesophageal reflux disease.
[4] The preventive / ameliorating agent according to any one of [1] to [3], wherein the molar ratio of glutamic acid or a salt thereof to arginine or a salt thereof is blended at 30: 1 to 1:30.
[5] The preventive / ameliorating agent according to [4], wherein the molar ratio is 10: 1 to 1:10.
[6] The preventive / ameliorating agent according to [4], wherein the molar ratio is 10: 1 to 2: 1 and 1: 2 to 1:10.
[7] The preventive / ameliorating agent according to [4], wherein the molar ratio is 10: 1 to 2: 1.
[8] A medicament comprising the preventive / ameliorating agent according to any one of [1] to [7].
[9] A food containing the preventive / ameliorating agent according to any one of [1] to [7].
[10] The food according to [9], wherein the food is a health functional food, a food for specified health use, a nutritional functional food, or a dietary supplement.
[11] A method for preventing or ameliorating functional gastrointestinal disorders, comprising administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from a functional gastrointestinal disorder, wherein glutamic acid arginine salt is except.
[12] A method for treating functional gastrointestinal disorders, comprising administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from functional gastrointestinal disorders, except for glutamic acid arginine salts .
[13] Use of glutamic acid or a salt thereof and arginine or a salt thereof for producing the preventive / ameliorating agent according to [1] to [7], except for glutamic acid arginine salt.
[14] The preventive / ameliorating agent according to any one of [1] to [7], which is a solid preparation.
 本発明によれば、機能性消化管障害、特に機能性胃腸症、胃食道逆流症等の上部消化管機能障害の改善に有用な薬剤および食品を提供することができる。また該薬剤または食品は、上記疾患に伴う不快感覚を改善し患者のQOLを高め、また副作用が少ないため長期に服用可能である。また苦味物質であり摂取時にマスキングを必要とするアルギニンの配合量が少ない場合には、マスキングがおこない易い。一方アルギニンの配合量が多い場合には、機能性消化管障害、特に機能性胃腸症の患者において食後飽満感を引き起こしにくいなどの効果が得られる。また胃食道逆流症の患者においても逆流に伴う症状を抑制する効果がある。
 さらには本発明によれば、グルタミン酸(その塩)およびアルギニン(その塩)を配合するだけで塩などを形成する必要もなく薬剤および食品を簡単に製造することができる。
ADVANTAGE OF THE INVENTION According to this invention, the chemical | medical agent and foodstuffs which are useful for improvement of functional digestive tract disorders, especially upper gastrointestinal dysfunctions, such as functional gastroenteropathy and gastroesophageal reflux disease, can be provided. Further, the drug or food can be taken for a long time because it improves the unpleasant sensation associated with the above-mentioned diseases, increases the QOL of the patient, and has few side effects. Further, when the amount of arginine, which is a bitter substance and requires masking when ingested, is small, masking is easily performed. On the other hand, when the amount of arginine is large, effects such as difficulty in causing postprandial satiety in patients with functional gastrointestinal disorders, particularly functional gastroenteropathy, can be obtained. It also has the effect of suppressing symptoms associated with reflux even in patients with gastroesophageal reflux disease.
Furthermore, according to the present invention, it is possible to easily produce drugs and foods by adding only glutamic acid (its salt) and arginine (its salt) without forming a salt or the like.
図1は、グルタミン酸とアルギニンの配合比を変化させたときの胃排出促進の結果を示す。FIG. 1 shows the results of promotion of gastric emptying when the mixing ratio of glutamic acid and arginine is changed. 図2は、グルタミン酸とアルギニンの配合比を変化させたときの胃排出促進の結果を示す。FIG. 2 shows the results of promotion of gastric emptying when the mixing ratio of glutamic acid and arginine is changed.
 以下、本発明の実施形態について説明する。
 本発明のグルタミン酸またはその塩、およびアルギニンまたはその塩を有効成分として含有する(グルタミン酸アルギニン塩は除く)機能性消化管障害予防・改善剤(以下本発明の予防・改善剤ともいう)は、患者のQOLを低下させる、再現性のある機能性消化管障害、特に機能性胃腸症、胃食道逆流症等の上部消化管機能障害における下記記載症状の発生を予防または症状を改善する。
Hereinafter, embodiments of the present invention will be described.
A functional gastrointestinal tract preventive / ameliorating agent (hereinafter also referred to as the prophylactic / improving agent of the present invention) containing glutamic acid or a salt thereof of the present invention and arginine or a salt thereof as an active ingredient (excluding glutamic acid arginine salt) is a patient To prevent or improve the occurrence of the following symptoms in reproducible functional gastrointestinal disorders, particularly functional gastroenteropathy, gastroesophageal reflux disease and the like.
 本発明における「機能性消化管障害」とは、明らかな器質的変化がないにもかかわらず消化管の運動機能が低下しているような状態をいい、消化管(咽頭、食道、胃、小腸(十二指腸、空腸、回腸)、大腸)のあらゆる機能の低下を言う。Rome IIIにおいては本定義について、AからHまでの区分がされており、機能性食道障害、機能性胃十二指腸障害、機能性腸障害、機能性腹痛症候群、機能性胆嚢・オッディ括約筋障害、機能性直腸肛門障害、新生児および乳幼児の機能障害、小児、青年期の機能性障害である。 “Functional gastrointestinal tract disorder” in the present invention refers to a state in which the motor function of the digestive tract is reduced despite no obvious organic change, and the digestive tract (pharynx, esophagus, stomach, small intestine). (Deduodenum, jejunum, ileum), large intestine) is a decrease in all functions. In Rome III, this definition is classified from A to H. Functional esophageal disorder, functional gastroduodenal disorder, functional bowel disorder, functional abdominal pain syndrome, functional gallbladder / oddy sphincter disorder, functional Anorectal disorders, neonatal and infant dysfunction, children and adolescent dysfunction.
 本発明における「消化管」とは、口腔から肛門までの一連の消化に携わる管腔臓器をいい、例えば、咽頭、食道、胃、小腸(十二指腸、空腸、回腸)、大腸が挙げられる。さらに「上部消化管」とは、咽頭、食道、胃、十二指腸をいう。 The “gastrointestinal tract” in the present invention refers to a luminal organ involved in a series of digestion from the oral cavity to the anus, and includes, for example, the pharynx, esophagus, stomach, small intestine (duodenum, jejunum, ileum), and large intestine. Furthermore, the “upper digestive tract” refers to the pharynx, esophagus, stomach, and duodenum.
 本発明における「機能性胃腸症」とは、これまで胃排出遅延が認められる慢性胃炎や胃炎として診断されてきた疾患をいい、腹部痛、胃もたれ、胸やけ等の症状を呈することを特徴とする。RomeIIIによると、煩わしい食後膨満感、早期飽満感、心窩部痛、心窩部灼熱感のうち一症状以上が慢性的に(厳密には3ヶ月以上)みられ、かつ器質的疾患が除外された場合に機能性胃腸症と診断される。 `` Functional gastroenteropathy '' in the present invention refers to a disease that has been diagnosed as chronic gastritis or gastritis with delayed gastric emptying, and is characterized by symptoms such as abdominal pain, stomach upset, heartburn, etc. To do. According to RomeIII, one or more symptoms of annoying postprandial fullness, early satiety, epigastric pain, and epigastric burning sensation were chronic (exactly 3 months or more), and organic diseases were excluded. Sometimes diagnosed with functional gastroenteropathy.
 本発明における「胃食道逆流症」は逆流性食道炎も含み、胃酸が逆流することで発症し、胸やけ、胃酸が口まで上がってくる等の特有の症状がある症状をいう。 “Gastroesophageal reflux disease” in the present invention includes reflux esophagitis, which is a symptom caused by reflux of gastric acid and having specific symptoms such as heartburn and gastric acid rising to the mouth.
 本発明の予防・改善剤により予防または改善可能な機能性消化管障害の具体的な症状(不定愁訴)としては、悪心、嘔吐、吐き気、胸焼け、膨満感、胃もたれ、ゲップ、胸中苦悶感、胸痛、胃部不快感、食欲不振等の代表的な上部消化管不定愁訴、腹痛、便秘、下痢等の下部消化管不定愁訴および関連した愁訴、例えば息切れ、息苦しさ、意欲低下、喉頭閉塞・異物感(漢方でいう「梅核気」)、易疲労感、肩こり、緊張、口のかわき(口渇・口乾)、呼吸促迫、四肢熱感・冷感、集中困難、焦燥感、睡眠障害、頭痛、全身倦怠感、動悸、寝汗、不安感、ふらつき感、めまい感、熱感、のぼせ、発汗、腹痛、便秘、抑鬱感等が挙げられる。 Specific symptoms (indefinite complaints) of functional gastrointestinal disorders that can be prevented or ameliorated by the preventive / ameliorating agent of the present invention include nausea, vomiting, nausea, heartburn, bloating, stomach upset, gep, chest distress, Typical upper gastrointestinal complaints such as chest pain, stomach discomfort, loss of appetite, lower gastrointestinal complaints such as abdominal pain, constipation, and diarrhea and related complaints such as shortness of breath, difficulty in breathing, decreased motivation, laryngeal obstruction, foreign body Sensation ("Umekiki" in Chinese medicine), ease of fatigue, stiff shoulders, tension, dry mouth (dry thirst, dry mouth), respiratory distress, extremity heat / cold sensation, difficulty concentrating, agitation, sleep disorder, Examples include headache, general malaise, palpitation, night sweats, anxiety, lightness, dizziness, heat, hot flashes, sweating, abdominal pain, constipation, and depression.
 本発明の予防・改善剤は、機能性消化管障害の予防または改善のために用いられる。ここでいう改善とは、症状の改善、病状ないし症状の進展(悪化)防止をも含む概念である。また予防とは、症状の発生を未然に防ぐ(予防)、機能性消化管障害のリスクの軽減をも含む概念である。 The preventive / ameliorating agent of the present invention is used for the prevention or improvement of functional gastrointestinal disorders. Improvement here is a concept including improvement of symptoms and prevention of progression (deterioration) of medical conditions or symptoms. Prevention is also a concept that includes preventing the occurrence of symptoms (prevention) and reducing the risk of functional gastrointestinal disorders.
 グルタミン酸、アルギニンおよびそれらの塩は、動物や植物に由来する天然のもの、あるいは化学合成法、発酵法、遺伝子組換え法によって得られるもののいずれを使用してもよい。また、グルタミン酸においては、L体、D体、これらの混合物(例えば、ラセミ体)のいずれでもよいが、L体が好適に使用される。なお、グルタミン酸と同様のアミノ酸である、アスパラギン酸、トリコロミン酸、イボテン酸またはそれらの塩においても、機能性消化管障害を改善する作用があると推測される。 Glutamic acid, arginine, and salts thereof may be any of those derived from animals and plants, or those obtained by chemical synthesis, fermentation, or gene recombination. In glutamic acid, any of L-form, D-form and a mixture thereof (for example, racemate) may be used, but L-form is preferably used. In addition, it is speculated that aspartic acid, tricolominic acid, ibotenic acid, or salts thereof, which are the same amino acids as glutamic acid, have an action to improve functional gastrointestinal tract disorders.
 またアルギニンにおいては、L体、D体、これらの混合物(例えば、ラセミ体)のいずれでもよいが、L体が好適に使用される。 Arginine may be any of L-form, D-form, and a mixture thereof (for example, racemate), but L-form is preferably used.
 本発明におけるグルタミン酸の塩およびアルギニンの塩としては、薬理的に許容される塩が挙げられる。このような塩としては、無機塩基との塩、無機酸との塩、有機酸との塩等が挙げられる。ただ上記の塩として、グルタミン酸アルギニン塩は除かれる。 The glutamic acid salt and arginine salt in the present invention include pharmacologically acceptable salts. Examples of such salts include salts with inorganic bases, salts with inorganic acids, salts with organic acids, and the like. However, arginine glutamate is excluded as the above salt.
 無機塩基との塩としては、ナトリウム、カリウム、リチウム等のアルカリ金属との塩、カルシウム、マグネシウム等のアルカリ土類金属との塩、アンモニウムとの塩等が挙げられる。
 無機酸との塩としては、ハロゲン化水素酸(塩酸、臭化水素酸、ヨウ化水素酸等)、硫酸、硝酸、リン酸等との塩が挙げられる。
 有機酸との塩としては、ギ酸、酢酸、プロピオン酸、シュウ酸、コハク酸、マレイン酸、フマル酸、クエン酸、グルタミン酸、アスパラギン酸、ヒスチジン等との塩が挙げられる。
 これらのなかでは、ナトリウム塩等のアルカリ金属との塩が好適であり、ヒスチジン塩等の有機酸との塩も有用である。
Examples of the salt with an inorganic base include a salt with an alkali metal such as sodium, potassium and lithium, a salt with an alkaline earth metal such as calcium and magnesium, and a salt with ammonium.
Examples of the salt with an inorganic acid include salts with hydrohalic acid (hydrochloric acid, hydrobromic acid, hydroiodic acid, etc.), sulfuric acid, nitric acid, phosphoric acid and the like.
Examples of salts with organic acids include salts with formic acid, acetic acid, propionic acid, oxalic acid, succinic acid, maleic acid, fumaric acid, citric acid, glutamic acid, aspartic acid, histidine and the like.
Among these, a salt with an alkali metal such as a sodium salt is preferable, and a salt with an organic acid such as a histidine salt is also useful.
 好適な有効成分としてのグルタミン酸またはその塩は、グルタミン酸、L-グルタミン酸ナトリウム、D-グルタミン酸ナトリウム等が挙げられる。なかでも、グルタミン酸、L-グルタミン酸ナトリウム等が好ましい。
 好適な有効成分としてのアルギニンまたはその塩としては、アルギニン、アルギニン塩酸塩等が挙げられる。
 また、有効成分は二種以上を混合して使用することができる。
Suitable glutamic acid or a salt thereof as an active ingredient includes glutamic acid, sodium L-glutamate, sodium D-glutamate and the like. Of these, glutamic acid, sodium L-glutamate and the like are preferable.
Arginine or a salt thereof as a suitable active ingredient includes arginine, arginine hydrochloride and the like.
Moreover, an active ingredient can be used in mixture of 2 or more types.
 本発明の予防・改善剤において、グルタミン酸またはその塩とアルギニンまたはその塩との割合は、通常、グルタミン酸とアルギニンとが100:1~1:100のモル比で配合されている(1:1は除くのが好ましい)。なかでも30:1~1:30が好ましく、10:1~1:10がより好ましい(1:1は除くのが好ましい)。とりわけ10:1~2:1および1:2~1:10の範囲が好ましく、10:1~2:1が特に好ましい。 In the preventive / ameliorating agent of the present invention, the ratio of glutamic acid or a salt thereof to arginine or a salt thereof is usually such that glutamic acid and arginine are blended at a molar ratio of 100: 1 to 1: 100 (1: 1 is Preferably excluded). Among these, 30: 1 to 1:30 is preferable, and 10: 1 to 1:10 is more preferable (1: 1 is preferably excluded). In particular, the range of 10: 1 to 2: 1 and 1: 2 to 1:10 is preferable, and 10: 1 to 2: 1 is particularly preferable.
 投与対象としては機能性消化管障害を罹患した個体(例えば、ヒトのほかウシ、ウマ、ブタ、ヒツジ、イヌ、トリ等の家畜や家禽、およびマウス、ラット等の実験動物。以下、同様。)、該機能性消化管障害を罹患する可能性のある個体等が挙げられる。 Administration subjects are individuals suffering from functional gastrointestinal disorders (for example, humans, domestic animals and poultry such as cows, horses, pigs, sheep, dogs, and birds, and laboratory animals such as mice and rats. The same applies hereinafter). And individuals who may suffer from the functional gastrointestinal tract disorder.
 本発明において「有効成分」とは所望の予防・改善効果を与える成分をいう。有効成分の投与量は、投与対象の性別、年齢、体重、食餌、投与の形態、FDの症状、FDを誘発するリスクの程度、消化管の器質性疾患の症状等によって異なるが、例えば、成人(体重60kgとして)に対する有効成分の1日当たりの投与量は、グルタミン酸としては、通常0.01~10gであり、0.1~3gが好ましい。また同様にアルギニンとしては、通常0.01~10gであり、0.1~3gが好ましい。 In the present invention, “active ingredient” refers to an ingredient that provides a desired preventive / improving effect. The dose of the active ingredient varies depending on the sex, age, weight, diet, mode of administration, FD symptom, degree of risk of inducing FD, symptoms of organic diseases of the digestive tract, etc. The daily dose of the active ingredient relative to (with a body weight of 60 kg) is usually 0.01 to 10 g, preferably 0.1 to 3 g as glutamic acid. Similarly, arginine is usually 0.01 to 10 g, preferably 0.1 to 3 g.
 グルタミン酸とアルギニンをあわせた有効成分の1日当たりの投与量は、グルタミン酸およびアルギニンとして0.01~20gが好ましく、0.01~10gがより好ましく、0.1~6gが更に好ましい。
 このような投与量を1回または数回に分けて投与することができる。
The daily dose of the active ingredient in which glutamic acid and arginine are combined is preferably 0.01 to 20 g, more preferably 0.01 to 10 g, still more preferably 0.1 to 6 g as glutamic acid and arginine.
Such a dose can be administered once or divided into several times.
 上述のように本発明においては、上記有効成分の有効量を投与対象に投与することで機能性消化管障害が改善されるが、その場合、有効成分をそのままあるいは医薬担体と混合して、投与されるべき有効成分の量、および投与対象(例えば、患者)の状態等を考慮した上で、錠剤(糖衣錠、フィルムコーティング錠を含む)、丸剤、カプセル剤、アンプル剤、分包剤、エリキシル剤、懸濁剤、シロップ剤、ガム製剤、ドロップス製剤、散剤、顆粒剤、注射剤、坐薬、徐放剤等の医薬製剤として、経口的、経腸的または非経口的に投与することができる。投与方法としては経口投与が好ましく、さらに薬物徐放形態であるものが好ましい。徐放形態としては、ゲル被覆製剤、多重被覆製剤等の通常の徐放剤の他、ガム製剤、ドロップス製剤、定位放出剤(幽門部破裂製剤)等が挙げられる。
 また本発明の予防・改善剤は、散剤、顆粒剤、細粒剤、錠剤およびカプセル剤等の固形製剤の形態が望ましい。
 さらにグルタミン酸またはその塩およびアルギニンまたはその塩を上述したモル比になるように別々に製剤化し、投与時に混合する用事調製または投与時に同時に服用する形態も本発明に含まれる。
As described above, in the present invention, functional gastrointestinal tract disorders are improved by administering an effective amount of the above-mentioned active ingredient to the administration subject. In this case, the active ingredient is administered as it is or mixed with a pharmaceutical carrier. Taking into account the amount of active ingredient to be administered and the condition of the administration subject (eg patient), tablets (including sugar-coated tablets and film-coated tablets), pills, capsules, ampoules, sachets, elixirs Can be administered orally, enterally or parenterally as pharmaceutical preparations such as pills, suspensions, syrups, gum preparations, drops preparations, powders, granules, injections, suppositories, sustained-release preparations, etc. . As an administration method, oral administration is preferable, and a drug sustained release form is more preferable. Examples of sustained release forms include gum preparations, drops preparations, stereotactic release agents (pyloric rupture preparations) and the like in addition to usual sustained release agents such as gel-coated preparations and multiple-coated preparations.
The preventive / ameliorating agent of the present invention is preferably in the form of a solid preparation such as powder, granule, fine granule, tablet and capsule.
Furthermore, the present invention also includes a form in which glutamic acid or a salt thereof and arginine or a salt thereof are separately formulated so as to have the above-described molar ratio and mixed at the time of administration or taken simultaneously at the time of administration.
 上述した医薬担体とは、薬学的に許容されるものであって、体内において薬学的作用を呈することが極力少ないものをいう。経口投与される場合の医薬担体としては、ヒドロキシプロピルセルロース、トラガントガム、アラビアゴム、コーンスターチ、ゼラチン等の結合剤;リン酸二カルシウム等の賦形剤;部分α化デンプン、コーンスターチ、馬鈴薯澱粉、アルギン酸等の崩壊剤;ステアリン酸マグネシウム等の滑沢剤;スクロース等の甘味剤;色素;オレンジフレーバー等の香料;水、エタノール、グリセロール等の溶剤;蛋白質、アミノ酸、ビタミン、脂質、グルコース等の栄養素等を適宜使用することができる。
 さらに、医薬担体として、システイン、グルタチオン、アスコルビン酸、メタ亜硫酸ナトリウム、重亜硫酸ナトリウム等の薬学的に許容される抗酸化剤、炭酸カルシウム、水酸化アルミニウムゲル、ケイ酸アルミニウム等の酸中和剤が挙げられる。これらを一種または二種以上使用することができる。
The above-mentioned pharmaceutical carrier means a pharmaceutically acceptable substance that exhibits as little pharmaceutical activity as possible in the body. Pharmaceutical carriers when administered orally include binders such as hydroxypropylcellulose, tragacanth gum, gum arabic, corn starch, gelatin; excipients such as dicalcium phosphate; partially pregelatinized starch, corn starch, potato starch, alginic acid, etc. Disintegrants; Lubricants such as magnesium stearate; Sweeteners such as sucrose; Dyes; Fragrances such as orange flavor; Solvents such as water, ethanol and glycerol; Nutrients such as proteins, amino acids, vitamins, lipids and glucose It can be used as appropriate.
In addition, pharmaceutically acceptable antioxidants such as cysteine, glutathione, ascorbic acid, sodium metasulfite, sodium bisulfite, and acid neutralizers such as calcium carbonate, aluminum hydroxide gel, and aluminum silicate are used as pharmaceutical carriers. Can be mentioned. One or more of these can be used.
 なお、上述した医薬(医薬製剤)の剤形や医薬担体は、当業者によく知られたものであり、例えば、Reimington's Pharmaceutical Science, ed. 16(1980), Mack Publishing Companyに記載されるような剤形とし、また医薬担体を使用することができる。 The pharmaceutical dosage forms and pharmaceutical carriers described above are well known to those skilled in the art. For example, as described in Reimington's Pharmaceuticals Science, ed. 16 (1980), Mack Publishing Company. A dosage form can be used and a pharmaceutical carrier can be used.
 上記の医薬(医薬製剤)における有効成分であるグルタミン酸およびアルギニンの含有量(合計量)は、通常0.01~100重量%であり、好ましくは0.1~100重量%、より好ましくは1~100重量%である。 The content (total amount) of glutamic acid and arginine, which are active ingredients in the above-mentioned pharmaceutical (pharmaceutical preparation), is usually 0.01 to 100% by weight, preferably 0.1 to 100% by weight, more preferably 1 to 100% by weight.
 本発明の予防・改善剤は、他の薬剤を併用してもよく、かかる薬剤として、H2受容体拮抗薬、プロトンポンプ阻害薬等の酸分泌抑制剤、5-HT受容体作用剤、D拮抗剤等の運動機能改善剤、ムスカリン受容体拮抗薬、抗ガストリン薬、抗コリン薬等の制酸剤、テプレノン、プラウノトール、オルノプロスチル、エンプロスチル、ミソプロストール、レバミピド、スクラルファート、ポラプレジンク、アズレン、エグアレンナトリウム、グルタミン、アルジオキサ、ゲファルナート、エカベトナトリウム等の粘膜保護剤、スルファサラジン、5-ASA製剤、ステロイド、レミケード等の炎症性大腸炎治療剤を含有することができる。これらは一種または二種以上を含有することができる。また本発明の予防・改善剤と他の薬剤は、両者を単一製剤または別個の製剤としてもよく、同時投与または時間差をつけて投与してもよい。 The preventive / ameliorating agent of the present invention may be used in combination with other drugs. Examples of such drugs include acid secretion inhibitors such as H2 receptor antagonists and proton pump inhibitors, 5-HT receptor agonists, D 2 Motor function improvers such as antagonists, antacids such as muscarinic receptor antagonists, antigastrin drugs, and anticholinergics, teprenone, pranotol, ornoprostil, enprostil, misoprostol, rebamipide, sucralfate, polaprezinc, azulene In addition, mucosal protective agents such as egalene sodium, glutamine, aldioxa, gefarnate and ecabet sodium, sulfasalazine, 5-ASA preparations, inflammatory colitis therapeutic agents such as steroids and remicades can be contained. These can contain 1 type, or 2 or more types. Further, the preventive / ameliorating agent of the present invention and the other drug may be a single preparation or separate preparations, and may be administered simultaneously or with a time difference.
 次に、本発明における食品は、グルタミン酸またはその塩、およびアルギニンまたはその塩を有効成分として含有し(ただしグルタミン酸アルギニン塩は除く)、機能性消化管障害の改善、機能性胃腸症または胃食道逆流症の予防または改善といった特定の目的のために摂取するものである。また、本発明の食品は、いわゆる健康食品を含む一般食品としてもよい。さらに、本発明の食品は、厚生労働省の保健機能食品制度に規定される、保健機能食品、特定保健用食品、栄養機能食品、さらにダイエタリーサプリメント(栄養補助食品)とすることができる。この場合、グルタミン酸およびアルギニン、またはそれらの塩を2種以上混合して使用することができる。さらにグルタミン酸またはその塩およびアルギニンまたはその塩を上述したモル比になるように別々に製剤化し、摂取時に混合する用事調製または摂取時に同時に服用する形態も本発明に含まれる。 Next, the food according to the present invention contains glutamic acid or a salt thereof, and arginine or a salt thereof as active ingredients (excluding glutamic acid arginine salt), improves functional gastrointestinal disorders, functional gastroenteropathy or gastroesophageal reflux Taken for a specific purpose, such as prevention or amelioration of the disease. Moreover, the food of the present invention may be a general food including so-called health food. Furthermore, the food of the present invention can be a health functional food, a food for specified health use, a nutritional functional food, or a dietary supplement (dietary supplement) as defined in the health functional food system of the Ministry of Health, Labor and Welfare. In this case, glutamic acid and arginine, or a salt thereof can be used in combination of two or more. Further, the present invention also includes a form in which glutamic acid or a salt thereof and arginine or a salt thereof are separately formulated so as to have the above-described molar ratio and mixed at the time of ingestion or taken simultaneously at the time of ingestion.
 本発明の食品は、上述した化合物をそのまま摂取してもよいが、より摂取しやすくするために上記化合物に通常の食品素材、調味料、香味料等を添加しドリンク剤、ガム、粉末、錠剤、顆粒、ゼリー等の形態に加工して摂取してよい。この場合、例えば、上記化合物と崩壊剤とからなる錠剤、上記化合物と増量剤(蛋白加水分解物、澱粉、カゼイン、グルコース等)との混合物、口腔内で徐放可能な上記化合物と粘剤(ガム、舌下錠、トローチ剤)との混合物、上記化合物とこれを溶解している溶媒(例えば食用油脂、エタノールまたは水)との溶液、上記化合物を含むW/O若しくはO/W乳化物、上記化合物と栄養素(例えば、蛋白質、アミノ酸、ビタミン、脂質、グルコース等)との混合物とすることができる。また、本発明の機能性消化管障害予防・改善用、機能性胃腸症または胃食道逆流症予防・改善用のグルタミン酸およびアルギニンは、食事を摂取する際に添加して食事と共に摂取することも可能である。例えば、ドリンク、清涼飲料水、ヨーグルト、ゼリー、乳飲料等の既存の食品に添加して摂取してもよい。 The food of the present invention may be ingested the above-mentioned compound as it is, but in order to make it easier to ingest, the above-mentioned compound is added with normal food materials, seasonings, flavors, etc., drinks, gums, powders, tablets , Processed into a granule, jelly form, etc. In this case, for example, a tablet comprising the above compound and a disintegrant, a mixture of the above compound and a bulking agent (protein hydrolyzate, starch, casein, glucose, etc.), the above compound and a sticky agent that can be sustainedly released in the oral cavity ( A mixture of the above compound and a solvent (for example, edible oil, ethanol or water) in which the compound is dissolved, a W / O or O / W emulsion containing the compound, It can be set as the mixture of the said compound and nutrients (For example, protein, an amino acid, a vitamin, a lipid, glucose, etc.). In addition, glutamic acid and arginine for preventing or improving functional gastrointestinal tract disorders according to the present invention and for preventing or improving functional gastroenteropathy or gastroesophageal reflux disease can be added at the time of taking a meal and taken together with the meal. It is. For example, you may ingest by adding to existing foods, such as a drink, a soft drink, a yogurt, a jelly, and a milk drink.
 本発明の食品を上述した特定の目的に使用する場合、成人1日当たりの摂取量としては、グルタミン酸として通常0.01~10gであり、0.1~3gが好ましい。また同様にアルギニンとしては、通常0.01~10gであり、0.1~3gが好ましい。 When the food of the present invention is used for the specific purpose described above, the daily intake amount for adults is usually 0.01 to 10 g as glutamic acid, and preferably 0.1 to 3 g. Similarly, arginine is usually 0.01 to 10 g, preferably 0.1 to 3 g.
 グルタミン酸とアルギニンをあわせた有効成分の成人1日当たりの摂取量は、グルタミン酸およびアルギニンとして0.01~20gが好ましく、0.01~10gがより好ましく、0.1~6gが更に好ましい。
 このような摂取量を1回または数回に分けて投与することができる。
 一方、本発明の食品中の上記化合物の含有量は、通常0.01~3重量%であり、好ましくは0.05~1重量%、より好ましくは0.1~0.5重量%である。
The daily intake amount of an active ingredient in which glutamic acid and arginine are combined is preferably 0.01 to 20 g, more preferably 0.01 to 10 g, still more preferably 0.1 to 6 g as glutamic acid and arginine.
Such intake can be administered once or divided into several times.
On the other hand, the content of the above compound in the food of the present invention is usually 0.01 to 3% by weight, preferably 0.05 to 1% by weight, more preferably 0.1 to 0.5% by weight. .
 また本発明の食品は、1食摂取量単位の形態で包装された形態などが挙げられる。1食摂取量単位の形態とは、1食あたりに摂取する量が予め定められた形態であり、上述した成人1日当たりの有効成分の摂取量等を勘案して決められる。例えば、飲料、キャンディー、チューイングガム、ゼリー、プリン、ヨーグルト等の場合にはパック、包装、ボトル等で一定量を規定する形態が挙げられ、顆粒・粉末・スラリー状の食品の場合には、包装などで一定量を規定できる、あるいは容器などに1食あたりの摂取量を表示してある形態が挙げられる。 Moreover, the food of the present invention includes a form packaged in the form of one meal intake unit. The form of one meal intake unit is a form in which the amount taken per meal is determined in advance, and is determined in consideration of the above-mentioned intake of active ingredients per day for adults. For example, in the case of beverages, candy, chewing gum, jelly, pudding, yogurt, etc., there are forms that define a certain amount in packs, packaging, bottles, etc. In the case of granules, powders, slurry foods, packaging etc. A certain amount can be defined by the above, or the amount of intake per meal is displayed on a container or the like.
 別の態様として、有効量のグルタミン酸またはその塩、およびアルギニンまたはその塩(ただしグルタミン酸アルギニン塩は除く)を機能性消化管障害に罹患している対象に投与または摂取することを含む、機能性消化管障害予防、改善または治療方法も本発明に含まれる。有効量等は上述した通りである。 In another aspect, functional digestion comprising administering or ingesting an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof (excluding glutamic acid arginine salt) to a subject suffering from a functional gastrointestinal disorder Methods for preventing, ameliorating or treating vascular disorders are also included in the present invention. Effective amounts and the like are as described above.
 また別の態様としては、機能性消化管障害予防・改善剤を製造するためのグルタミン酸またはその塩、およびアルギニンまたはその塩の使用(ただしグルタミン酸アルギニン塩は除く)も本発明に含まれる。機能性消化管障害予防・改善剤については上述した通りである。 As another aspect, the present invention also includes glutamic acid or a salt thereof and use of arginine or a salt thereof (excluding glutamic acid arginine salt) for producing a functional gastrointestinal disorder preventive / ameliorating agent. The functional gastrointestinal disorder preventive / ameliorating agent is as described above.
 以下、実施例により更に詳細に説明するが、本発明はこれらの実施例に限定されるものではない。 Hereinafter, the present invention will be described in more detail with reference to examples, but the present invention is not limited to these examples.
<実施例1>
 グルタミン酸とアルギニンの配合比を変化させたときの胃排出促進について検討するため、以下の実験を行った。
 雄性SD(IGS)ラットを使用した。0.05%フェノールレッドおよび試験薬を含む10%カゼイン流動食を1.5mL経口投与し、その60分後に開胸し、胃を摘出した。摘出した胃を0.1N水酸化ナトリウム(30mL)に入れ、ホモジナイズし、1時間室温に放置した。0.5mLの上清にアセトニトリル1mLを加え、遠心分離(3000回転、20分)した。吸光光度計(560nm)にて上清の吸光度を測定した。なお、胃排出率は以下の算出式によって求めた。
<Example 1>
In order to examine the promotion of gastric emptying when the mixing ratio of glutamic acid and arginine was changed, the following experiment was conducted.
Male SD (IGS) rats were used. 1.5 mL of 10% casein liquid diet containing 0.05% phenol red and test drug was orally administered, and 60 minutes later, the thoracotomy was performed and the stomach was removed. The excised stomach was placed in 0.1N sodium hydroxide (30 mL), homogenized and left at room temperature for 1 hour. 1 mL of acetonitrile was added to 0.5 mL of the supernatant and centrifuged (3000 rpm, 20 minutes). The absorbance of the supernatant was measured with an absorptiometer (560 nm). The gastric emptying rate was determined by the following calculation formula.
 胃排出率(%)=(1-試験サンプルの吸光度/標準サンプルの吸光度)×100
 なお、標準サンプルの吸光度は0.05%フェノールレッド溶液1.5mLを投与直後に摘出した胃のものを用いた。試験薬はフェノールレッド溶液に混合した。グルタミン酸はグルタミン酸ナトリウム、アルギニンはアルギニン塩酸塩を使用した。グルタミン酸とアルギニンの配合比が1:3の場合はそれぞれ3mM:9mM(Arg3Glu9)、3:1の場合はそれぞれ9mM:3mM(Arg9Glu3)で調製し投与した。コントロールとして、0.05%フェノールレッドを含む10%カゼイン流動食を使用した(vehicle)。 
Gastric emptying rate (%) = (1−absorbance of test sample / absorbance of standard sample) × 100
The absorbance of the standard sample was that of the stomach extracted immediately after administration of 1.5 mL of 0.05% phenol red solution. The test drug was mixed in a phenol red solution. For glutamic acid, sodium glutamate was used, and for arginine, arginine hydrochloride was used. When the compounding ratio of glutamic acid and arginine was 1: 3, it was prepared and administered at 3 mM: 9 mM (Arg3Glu9) and 3: 1 respectively at 9 mM: 3 mM (Arg9Glu3). As a control, a 10% casein liquid diet containing 0.05% phenol red was used (vehicle).
 検定は一元配置分散分析の後、ダネット多重比較を用いて行った。なお、*P<0.05を示す。結果を図1に示す。各群の例数は16例(vehicle群のみ15例)である。縦軸は胃排出率を示している。グルタミン酸とアルギニンのいずれの配合比でも胃排出が促進されることが示された。  The test was performed using one-way analysis of variance followed by Dunnett's multiple comparison. In addition, * P <0.05 is shown. The results are shown in FIG. The number of cases in each group is 16 (15 cases only in the vehicle group). The vertical axis represents the gastric emptying rate. It was shown that gastric emptying was promoted at any mixing ratio of glutamic acid and arginine. *
<実施例2>
グルタミン酸とアルギニンの配合比を変化させたときの胃排出促進について検討するため、以下の実験を行った。
 雄性SD(IGS)ラットを使用した。0.05%フェノールレッドおよび試験薬を含む10%カゼイン流動食を1.5mL経口投与し、その60分後に開胸し、胃を摘出した。摘出した胃を0.1N水酸化ナトリウム(30mL)に入れ、ホモジナイズし、1時間室温に放置した。0.5mLの上清にアセトニトリル1mLを加え、遠心分離(3000回転、20分)した。吸光光度計(560nm)にて上清の吸光度を測定した。なお、胃排出率は以下の算出式によって求めた。
<Example 2>
In order to examine the promotion of gastric emptying when the mixing ratio of glutamic acid and arginine was changed, the following experiment was conducted.
Male SD (IGS) rats were used. 1.5 mL of 10% casein liquid diet containing 0.05% phenol red and test drug was orally administered, and 60 minutes later, the thoracotomy was performed and the stomach was removed. The excised stomach was placed in 0.1N sodium hydroxide (30 mL), homogenized and left at room temperature for 1 hour. 1 mL of acetonitrile was added to 0.5 mL of the supernatant and centrifuged (3000 rpm, 20 minutes). The absorbance of the supernatant was measured with an absorptiometer (560 nm). The gastric emptying rate was determined by the following calculation formula.
胃排出率(%)=(1-試験サンプルの吸光度/標準サンプルの吸光度)×100
 なお、標準サンプルの吸光度は0.05%フェノールレッド溶液1.5mLを投与直後に摘出した胃のものを用いた。試験薬はフェノールレッド溶液に混合した。グルタミン酸はグルタミン酸ナトリウム、アルギニンはアルギニン塩酸塩を使用した。グルタミン酸の濃度は9mMとし、アルギニンの濃度を変化させた。コントロールとして、0.05%フェノールレッドを含む10%カゼイン流動食を使用した。試験はアルギニン添加0.09、0.03および0.3mMならびに0.9、3、30、90、300および900mMの2日間に分けて行い、それぞれの回にvehicle群を設けた(vehicleおよびvehicle2)。
Gastric emptying rate (%) = (1−absorbance of test sample / absorbance of standard sample) × 100
The absorbance of the standard sample was that of the stomach extracted immediately after administration of 1.5 mL of 0.05% phenol red solution. The test drug was mixed in a phenol red solution. For glutamic acid, sodium glutamate was used, and for arginine, arginine hydrochloride was used. The concentration of glutamic acid was 9 mM, and the concentration of arginine was changed. As a control, a 10% casein liquid food containing 0.05% phenol red was used. The test was divided into two days of arginine-added 0.09, 0.03 and 0.3 mM and 0.9, 3, 30, 90, 300 and 900 mM, and a vehicle group was established each time (vehicle and vehicle 2). ).
 検定は一元配置分散分析の後、ダネット多重比較を用いて行い、アルギニンが0.09mM~0.3mMの配合群はvehicleと、アルギニンが0.9mM~900mMの配合群はvehicle2と比較した。なお、*P<0.05を示す。結果を図2に示す。各群の例数は8例である。縦軸は胃排出率(胃排出能)を示している。アルギニンの添加濃度が0.9mM~90mMにおいて有意に胃排出を促進した。 The test was performed using one-way analysis of variance followed by Dunnett's multiple comparison. The combination group with 0.09 mM to 0.3 mM arginine was compared with vehicle, and the combination group with arginine 0.9 to 900 mM was compared with vehicle 2. In addition, * P <0.05 is shown. The results are shown in FIG. The number of examples in each group is 8. The vertical axis represents the gastric emptying rate (gastric emptying ability). Gastric emptying was significantly promoted when the addition concentration of arginine was 0.9 mM to 90 mM.
製剤例1(顆粒剤)
 1回の摂取分として、L-グルタミン酸ナトリウム0.56g、L-アルギニン塩酸塩0.21gおよび部分α化デンプン1.0gとなるような比率で、各成分をそれぞれ粉砕機にて粉砕し、混合した後、エタノールを添加して練合機にて練合し、押し出し造粒機により造粒して、顆粒剤を得る。
Formulation Example 1 (Granule)
Each component is pulverized and mixed in a pulverizer at a ratio of 0.56 g of sodium L-glutamate, 0.21 g of L-arginine hydrochloride and 1.0 g of partially pregelatinized starch as a single intake. Then, ethanol is added and kneaded with a kneader, and granulated with an extrusion granulator to obtain granules.
製剤例2(顆粒剤)
 1回の摂取分として、L-グルタミン酸ナトリウム0.19g、L-アルギニン塩酸塩0.63gおよび部分α化デンプン1.0gとなるような比率で、各成分をそれぞれ粉砕機にて粉砕し、混合した後、エタノールを添加して練合機にて練合し、押し出し造粒機により造粒して、顆粒剤を得る。
Formulation Example 2 (granule)
Each component was pulverized and mixed in a pulverizer at a ratio of 0.19 g of sodium L-glutamate, 0.63 g of L-arginine hydrochloride and 1.0 g of partially pregelatinized starch as a single intake. Then, ethanol is added and kneaded with a kneader, and granulated with an extrusion granulator to obtain granules.
製剤例3(錠剤)
 1錠あたり、L-グルタミン酸ナトリウム0.56g、L-アルギニン塩酸塩0.21gおよびヒドロキシプロピルセルロース0.2gを添加して造粒する。乾燥後、整粒、混合して打錠し、錠剤を得る。
Formulation Example 3 (tablet)
For each tablet, 0.56 g of sodium L-glutamate, 0.21 g of L-arginine hydrochloride and 0.2 g of hydroxypropylcellulose are added and granulated. After drying, the mixture is granulated, mixed and compressed to obtain tablets.
製剤例4(錠剤)
 1錠あたり、L-グルタミン酸ナトリウム0.19g、L-アルギニン塩酸塩0.63gおよびヒドロキシプロピルセルロース0.2gを添加して造粒する。乾燥後、整粒、混合して打錠し、錠剤を得る。
Formulation Example 4 (tablet)
For each tablet, 0.19 g of sodium L-glutamate, 0.63 g of L-arginine hydrochloride and 0.2 g of hydroxypropylcellulose are granulated. After drying, the mixture is granulated, mixed and compressed to obtain tablets.
 以上、本発明の具体的な態様のいくつかを詳細に説明したが、当業者であれば、示された特定の態様に、本発明の教示と利点から実質的に逸脱しない範囲で様々な修正と変更をなすことが可能である。従って、そのような修正および変更も、すべて請求の範囲で請求される本発明の精神と範囲内に含まれるものである。 Although several specific embodiments of the present invention have been described in detail, those skilled in the art will recognize that various modifications may be made to the specific embodiments shown without departing from the teachings and advantages of the invention. It is possible to make changes. Accordingly, all such modifications and changes are intended to be included within the spirit and scope of the present invention as claimed.
 本出願は、日本で出願された特願2008-061769を基礎としており、その内容は本出願にすべて包含されるものである。 This application is based on Japanese Patent Application No. 2008-061769 filed in Japan, the contents of which are incorporated in this application.

Claims (13)

  1.  グルタミン酸またはその塩、およびアルギニンまたはその塩を有効成分として含有する、ただしグルタミン酸アルギニン塩は除く、機能性消化管障害予防・改善剤。 Functional glutamic acid disorder preventive / ameliorating agent containing glutamic acid or a salt thereof and arginine or a salt thereof as an active ingredient except for glutamic acid arginine salt.
  2.  機能性消化管障害が上部消化管機能障害である、請求項1記載の予防・改善剤。 The preventive / ameliorating agent according to claim 1, wherein the functional gastrointestinal tract disorder is upper gastrointestinal tract disorder.
  3.  上部消化管機能障害が機能性胃腸症または胃食道逆流症である、請求項2記載の予防・改善剤。 The preventive / ameliorating agent according to claim 2, wherein the upper gastrointestinal dysfunction is functional gastroenteropathy or gastroesophageal reflux disease.
  4.  グルタミン酸またはその塩とアルギニンまたはその塩とのモル比が30:1~1:30で配合されている請求項1~3のいずれか1項に記載の予防・改善剤。 The preventive / ameliorating agent according to any one of claims 1 to 3, wherein a molar ratio of glutamic acid or a salt thereof to arginine or a salt thereof is blended at 30: 1 to 1:30.
  5.  モル比が10:1~1:10である請求項4記載の予防・改善剤。 The preventive / improving agent according to claim 4, wherein the molar ratio is 10: 1 to 1:10.
  6.  モル比が10:1~2:1および1:2~1:10である請求項4記載の予防・改善剤。 The preventive / ameliorating agent according to claim 4, wherein the molar ratio is 10: 1 to 2: 1, and 1: 2 to 1:10.
  7.  モル比が10:1~2:1である請求項4記載の予防・改善剤。 The preventive / ameliorating agent according to claim 4, wherein the molar ratio is 10: 1 to 2: 1.
  8.  請求項1~7のいずれか1項に記載の予防・改善剤を含む医薬。 A medicament comprising the preventive / ameliorating agent according to any one of claims 1 to 7.
  9.  請求項1~7のいずれか1項に記載の予防・改善剤を含む食品。 A food containing the preventive / ameliorating agent according to any one of claims 1 to 7.
  10.  食品が、保健機能食品、特定保健用食品、栄養機能食品またはダイエタリーサプリメントである請求項9記載の食品。 The food according to claim 9, wherein the food is a health functional food, a food for specified health use, a nutritional functional food, or a dietary supplement.
  11.  有効量のグルタミン酸またはその塩、およびアルギニンまたはその塩を機能性消化管障害に罹患している対象に投与することを含む、機能性消化管障害予防または改善方法、ただしグルタミン酸アルギニン塩は除く。 ∙ A method for preventing or ameliorating functional gastrointestinal disorders, including administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from functional gastrointestinal disorders, except for glutamic acid arginine salts.
  12.  有効量のグルタミン酸またはその塩、およびアルギニンまたはその塩を機能性消化管障害に罹患している対象に投与することを含む、機能性消化管障害の治療方法、ただしグルタミン酸アルギニン塩は除く。 ∙ A method for treating functional gastrointestinal disorders, including administering an effective amount of glutamic acid or a salt thereof, and arginine or a salt thereof to a subject suffering from functional gastrointestinal disorders, except for glutamic acid arginine salts.
  13.  請求項1~7記載の予防・改善剤を製造するためのグルタミン酸またはその塩、およびアルギニンまたはその塩の使用、ただしグルタミン酸アルギニン塩は除く。 Use of glutamic acid or a salt thereof and arginine or a salt thereof for producing the preventive / ameliorating agent according to claims 1 to 7, except for an arginine salt of glutamic acid.
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